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Massachusetts rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $7 · 10th–90th $4$790%20%40%10th90th$7Professionalmedian $7 · 10th–90th $4$100%20%10th90th$7$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.55 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $7.59 / $11.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.89 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.12
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.88
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.55 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $7.59 / $11.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.17 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.17 / $8.71